Certificate of Veterinary Inspection · issued 2023-04-26
35-245563
RIDGLAN FARMS, INC. → CLINVET · 36 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Carrier
Not stated on the certificate.
Issuing Veterinarian
Richard J. Van Domelen, D.V.M.
P.O. BOX 318 MT. HOREB, WI 53572
Health declarations
Vaccinations (1)
| Name | Manufacturer / Product | Lot | Administered | Expires | Applies to |
|---|---|---|---|---|---|
| Parvo Virus | NeoPar / NeoPar | 2023-04-17 | all |
Remarks / additional certifications
THIS FORM IS NOT FOR INTERNATIONAL MOVEMENT. Not returning to WI. Number of Animals in Shipment: 36. Shipping date: 4/26/2023. Owner Mailing Address: P.O. Box 318 Mt. Horeb, WI 53572.
Animals certified as not showing signs of infectious, contagious and/or communicable disease. Serial Number field lists 'RESEARCH', indicating animals are for research purposes. Product & Vaccine Producer listed as 'ANIMALS FOR RESEARCH'.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (36)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| AHE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| AJE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| AQE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| ARE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| ATE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| BCE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| BDE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| ZBE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| ZCE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| ZIE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| ZKE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| ZLE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| ZSE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| ZVE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| ZWE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| ZXE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| ZYE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| ZZE-3 | Beagle | F | 7 Wks | 7 Wks | ||
| AKF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| ALF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| AOF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| APF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| AUF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| AVF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| BAF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| YVF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| YWF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| YZF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| ZAF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| ZFF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| ZGF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| ZPF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| ZQF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| ZRF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| ZTF-3 | Beagle | M | 7 Wks | 7 Wks | ||
| ZUF-3 | Beagle | M | 7 Wks | 7 Wks |
The CVI form lists each dog individually. Per-animal vaccination and treatment history is on the source PDF.
Primary source
This certificate was published by Wisconsin DATCP and is hosted on cvicentral.com. Click through to see the original PDF with all vaccination dates, treatment records, and any handwritten notes.
Extraction provenance
shrine_id 867587 · doc_class PaperCvi